Phase 2
N=118
Cisplatin vs. Doxorubicin/Cyclophosphamide in BrCa
Breast Cancer
Bottom Line
View on ClinicalTrials.gov: NCT01670500 ↗Enrolled (actual)
118
Serious AEs
9.4%
Results posted
Aug 2020
Primary outcome: Primary: Rate of Pathologic Complete Response (pCR) — 0; 0 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Cisplatin (Drug); Cyclophosphamide (Drug); Doxorubicin (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Beth Israel Deaconess Medical Center
- Primary completion
- May 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Rate of Pathologic Complete Response (pCR) |
0; 0 | — |
| SECONDARY Rate of Residual Cancer Burden (RCB) 0/1 |
46; 33 | — |
| SECONDARY Clinical Response Rate |
43; 45 | — |
| SECONDARY Number of Grade 3 and Grade 4 Adverse Events |
15; 16; 4; 11 | — |
| SECONDARY Analysis of Pre-chemotherapy Biopsies |
— | — |
Summary
This research study is a Phase II clinical trial. Phase II clinical trials test the effectiveness of an investigational drug, which is cisplatin in this trial, to learn how well it works in treating a specific cancer. "Investigational" means that cisplatin is still being studied for use in this setting and that research doctors are trying to find out more about it-in this case, how effective cisplatin is for treating breast cancer in BRCA mutation carriers. It also means that the FDA has not yet approved cisplatin for your type of cancer. Cisplatin has been approved by the FDA for treatment of other cancers.
The purpose of this study is to evaluate cisplatin, a chemotherapy drug that has been shown to be active in the treatment of women with breast cancer and a BRCA mutation. In this study, we are comparing cisplatin to the standard chemotherapy, doxorubicin and cyclophosphamide ("AC") that you might receive if you did not participate in this study.
Eligibility Criteria
Inclusion Criteria
- Pathologic confirmation of invasive breast cancer
- Stage: Clinical T1 >/= 1.0 cm, T2 or T3, N0-3, M0
- HER2 negative
- ER and PgR status by immunohistochemistry must be known. ER positive patients are allowed if physicain has determined neoadjuvant chemo is appropriate.
- Life expectancy greater than six months
- Use of an effective means of contraception is required
Exclusion Criteria
- Pregnant or breastfeeding
- Prior anthracycline or platinum based therapy
- Prior treatment for the current breast cancer, including chemotherapy, hormonal therapy, radiation or experimental therapy
- Ipsilateral breast recurrence, unless prior treatment consisted of excision alone for DCIS or breast-conserving treatment and hormonal therapy for DCIS or invasive cancer
- Peripheral neuropathy of any etiology that exceeds grade 1
- Significant hearing loss
- Renal dysfunction
- Use of other investigational or study agents
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to study drugs
- Uncontrolled intercurrent illness
- Any condition that would prohibit administration of corticosteroids
- Uncontrolled diabetes
- Pre-existing medical condition that would represent toxicity in excess of grade 1 as measured by CTCAE (unless not considered medically significant by the physician)
- Known HIV positive individuals on combination antiretroviral therapy
Data sourced from ClinicalTrials.gov (NCT01670500). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.